Organization
KLEAN TEAM 1031 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH WAYNE MOFFETT SR. CERTIFIED NURSE AIDE (OWNER/OPERATOR)
(214) 462-5387
Entity
Organization
Contact information
Practice address
1315 N. COOPER ST 126, ARLINGTON, TX 76011
(214) 462-5387
Mailing address
1315 N. COOPER ST 126, ARLINGTON, TX 76011
(214) 462-5387
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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